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Repeat Course Appeal Form

*An appeal is only required when a course is being requested for a third or greater attempt.

If you registered for an course and later withdrew, this is considered an attempt.

Beginning Fall 2012 a student may attempt a course a maximum of two times. A student’s request to enroll in a course for the third time or greater must be the result of extenuating or unusual circumstances. The Coordinator of Student Affairs and the Repeat Course Appeal Committee will review the student’s appeal and notify them of the decision. A decision may take up to 10 business days. In addition, some appeals may be granted with specific conditions ex. (tutoring contract, attendance contract, credit hour limit etc).

How many times have you attempted this course? *

It is not necessary for you to submit a Repeat Course Appeal form because you have indicated that you have only taken this course once before.

For a second attempt:
Please exit this form and contact the Admissions and Advising office at 269-782-1499 and request a “repeat override.”

Personal Information

Student Name *

Student ID *

SMC Email Address *

Telephone *

Telephone, part 1

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Telephone, part 2

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Telephone, part 3

Course Information

Your request to enroll in a course for the third or greater time must be the result of extenuating or unusual circumstances. Please explain your situation below. Any form with missing or incorrect information will be returned for the proper revisions.

Course you wish to repeat *

(ex. READ 100)

Term Re-enrolling in this Course *

In what term are you hoping to re-enroll in this course?

Additional Information

Explain the circumstances surrounding EACH of your attempts to complete this course successfully and why you wish to retake the course. *

Circumstances surrounding each attempt to complete course *

If you did not previously complete the course with a satisfactory grade, describe the actions you will take to prevent future recurrence of the course withdrawal or unsatisfactory final grade. *

Actions to prevent unsatisfactory grade in future *

List or describe other pertinent information that may affect this appeal.